경부 종괴에서 발견된 스파르가눔증 1예

A Case of Sparganosis in Subcutaneous Tissue of Neck

  • 최규성 (성균관대학교 의과대학 삼성창원병원 이비인후-두경부외과학교실) ;
  • 강시형 (성균관대학교 의과대학 삼성창원병원 이비인후-두경부외과학교실) ;
  • 박기철 (성균관대학교 의과대학 삼성창원병원 이비인후-두경부외과학교실)
  • Choi, Kyu sung (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Kang, Si Hyeong (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine) ;
  • Park, Gi cheol (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
  • 투고 : 2018.05.30
  • 심사 : 2018.11.27
  • 발행 : 2018.12.30

초록

Sparganum is the larvae of a parasite called Spirometra. It usually lives in snakes or frogs, which are parasitic on the human who consume them raw. Sparganum is presented with a form of mobile subcutaneous nodule in various parts of human body. A 78 years old man with palpable neck mass visited our clinics. He had a history of eating snakes raw about 50 years ago. He was diagnosed with Sparganosis through a fine needle aspiration biopsy and underwent excisional biopsy. Sparganosis should be considered when dealing subcutaneous palpable neck mass with history of consuming raw snakes or frogs.

키워드

참고문헌

  1. Lee SH, Chai JY, Hong ST. Synopsis of medical parasitology ; Seoul Korea Medical Book Publishing Co;1996.
  2. Paeng SS, Kim YJ, Yang SE, Jang HJ, Suh JI, Moon YC. Fine needle aspiration cytology of sparganosis. Korean J Cytopathol 1996;7(1):59-63.
  3. Jin HJ, Mun JH, Jwa SW, Song MGR, Ko HC, Kim HS, et al. Case Report: Usefulness of Ultrasonography in the diagnosis of sparganosis: a case report. Korean J of Dermatology 2014;52(12):907-10.
  4. Chae JI. Clinical Parasitology, Seoul; Seoul National University Press;2011.
  5. Hur J, Lee SC, Lee CY. Pulmonary sparaganosis. Korean J Thorac Cardiovasc Surg 2003;36(1):43-6.
  6. Kim HC, Lee YJ, Choi CS. 10 Cases of Human Sparganosis. Annals of Surgical Treatment and Research 1989;36(4):552-5.
  7. Chae SW, Choi JH, Lee DJ, Lee HM. Sparganosis presenting as a lateral neck mass. Head Neck 2003;25(1):74-6. https://doi.org/10.1002/hed.10158
  8. Oh YJ, Kim MJ, Cho JH, Cha CW, Kim DH, Oh MJ, et al. Case of Pulmonary Sparganosis in a Patient with a History of Recurrent Sparganum Infections. Tuberculosis and Respiratory Diseases 2009;67(3):229-33. https://doi.org/10.4046/trd.2009.67.3.229
  9. Yoo H, Kim DG. Sparganosis of Brain and Lumbar Spinal Canal. J Korean Neurosurg Soc 1999;28(7):1028-31.
  10. Kim DH, Lee IH, Yoon HC, Kim SC, Kim BS, Jo GS. Pleural Sparganosis. Korean J Thorac Cardiovasc Surg 2006;39(6):502-4.
  11. Choi SH, Kang SY, Kong Y, Cho SY. Antigenic protein fractios reacting with sera of sparganosis patients. Korean J Parasitol 1988;26(3):163-7. https://doi.org/10.3347/kjp.1988.26.3.163
  12. Lee YJ, Jang JY, Dong SH, Kim HJ, Kim BH, Chang YW, et al. A case of sparganosis presenting as hematochezia. Korean J of Med 2009;77(5):616-9.
  13. Lee HS, Chai JY. Sparganosis within the Thigh. J Korean Surg Soc 2007;72(1):85-8.
  14. Bae SW, Gwak HY, Song JS. A Case of Sparganosis in the Calf. J of the Korean Orthopaedic Assoc 1998;33(3):920-2. https://doi.org/10.4055/jkoa.1998.33.3.920
  15. Chai JY, Yu JR, Lee SH, Kim SI, Cho SY. Ineffectiveness of praziquantel treatment for human sparganosis (a case report). Seoul J Med 1988;29(4):397-9.